Characteristics and Treatment Outcomes of Transition among Patients with Inflammatory Bowel Diseaseopen accessCharacteristics and Treatment Outcomes of Transition among Patients with Inflammatory Bowel Disease
- Other Titles
- Characteristics and Treatment Outcomes of Transition among Patients with Inflammatory Bowel Disease
- Authors
- 유은진; 조상훈; 박수정; 김태일; 김원호; 천재희
- Issue Date
- Sep-2023
- Publisher
- 연세대학교의과대학
- Keywords
- Transition; inflammatory bowel disease; adherence; compliance; outcome
- Citation
- Yonsei Medical Journal, v.64, no.9, pp.541 - 548
- Journal Title
- Yonsei Medical Journal
- Volume
- 64
- Number
- 9
- Start Page
- 541
- End Page
- 548
- URI
- https://scholarworks.bwise.kr/ssu/handle/2018.sw.ssu/44411
- DOI
- 10.3349/ymj.2022.0588
- ISSN
- 0513-5796
- Abstract
- Purpose: This study aimed to assess disease characteristics and outcomes of transition in patient care among adolescent patients with inflammatory bowel disease (IBD).
Materials and Methods: Data from patients younger than 18 years who were diagnosed with IBD (Crohn’s disease, ulcerative colitis, or intestinal Behçet’s disease) were investigated. We categorized the patients into two groups: transition IBD group (Group A, diagnosed in pediatric care followed by transfer to/attendance in adult IBD care) and non-transition group (Group B, diag nosed and followed up in pediatric care or adult IBD care without transfer).
Results: Data from a total of 242 patients [Group A (n=29, 12.0%), Group B (n=213, 88.0%)] were analyzed. A significantly higher number of patients was diagnosed at an earlier age in Group A than in Group B (p<0.001). Group A patients had more severe dis ease in terms of number of disease flare ups (p=0.011) and frequency of bowel-related complications (p<0.001). Multiple linear re gression analysis showed that Group B patients had more medical non-compliance than Group A patients (β=2.31, p=0.018). After transition, IBD-related admission frequency, emergency admission frequency, disease flare frequency, and medical non-compli ance were significantly improved.
Conclusion: The transition IBD group had more severe disease. Medical non-compliance was lower in the transition IBD group. Clinical outcomes improved after transition.
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